Section 3 (Part 1): Quality and Cost Council Definitions
As used in this section and in sections 16K and 16L, the following words shall, unless the context clearly requires otherwise, have the following meanings:--
“Clinician”, a health care professional licensed under chapter 112.
“Council”, the health care quality and cost council, established by section 16K.
“Facility”, a hospital, clinic or nursing home licensed under chapter 111 or a home health agency.
“Health care provider”, a clinician, a facility or a physician group practice.
“Insurer”, a carrier authorized to transact accident and health insurance under chapter 175, a nonprofit hospital service corporation licensed under chapter 176A, a nonprofit medical service corporation licensed under chapter 176B, a dental service corporation organized under chapter 176E, an optometric service corporation organized under chapter 176F and a health maintenance organization licensed under chapter 176G.
“Physician group practice”, 2 or more physicians who deliver patient care, make joint use of equipment and personnel and divide income by a prearranged formula.
“Third party administrator”, an entity that administers payments for health care services on behalf of a client plan in exchange for an administrative fee.